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Posting Date: 02/14/2023
Changing Diagnosis Codes on Previously Processed Claims
Changing Diagnosis Codes on Previously Processed Claims National Government Services, is frequently asked about diagnosis code changes on claims that have already been processed. We hope this notifica...
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Posting Date: 02/13/2023
2023 Evaluation and Management Services – Prolonged Services
2023 Evaluation and Management Services – Prolonged Services Based on recent CMS clarifications for 2023 Evaluation and Management Services, particularly for prolonged services, National Government Se...
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Posting Date: 02/10/2023
MLN Connects® Newsletter: Prescription Drug Inflation Rebate Program Guidance – Feb 9, 2023
MLN Connects® Newsletter: Prescription Drug Inflation Rebate Program Guidance – Feb 9, 2023 News Medicare Part B Drug Inflation Rebates HHS Releases Initial Guidance for Medicare Prescription Drug...
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Posting Date: 02/09/2023
Hospice Cap Self-Reporting Reminder for the 2022 Cap Year
Hospice Cap Self-Reporting Reminder for the 2022 Cap Year The hospice cap self-reporting for the 2022 cap year (10/1/2021-9/30/2022) is due no later than 2/28/2023. Hospice providers should submit the...
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Posting Date: 02/09/2023
MLN Connects® Newsletter: February 9, 2023
MLN Connects® Newsletter: February 9, 2023 News DMEPOS: Get Benefit Category Determinations Nurse Practitioners and Clinical Nurse Specialists: Update to List of National Certifying Bodies Help Ad...
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Posting Date: 02/09/2023
CMS Updates to Clinical Lab Fee Schedule for 2023 Reminder
CMS Updates to Clinical Lab Fee Schedule for 2023 Reminder National Government Services has received many calls in relation to the CMS updates to the Clinical Laboratory Fee Schedule for 2023. Provide...
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Posting Date: 02/09/2023
National Government Services Proposed LCDs For Comment
National Government Services Proposed LCDs For Comment The proposed LCDs listed below are being presented for comment for the Jurisdiction 6 and Jurisdiction K MACs. The formal comment period extends ...
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Posting Date: 02/08/2023
End of Public Health Emergency Brings Change
End of Public Health Emergency Brings Change The end of the PHE is near and you may have questions. CMS and National Government Services want to ensure a seamless transition from the flexibilities ena...
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Posting Date: 02/06/2023
2022 Calendar Year 1099 Form Information
2022 Calendar Year 1099 Form Information Medicare providers and beneficiaries, who are serviced by National Government Services, regardless of their location, will receive a single Part A and Part B c...
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Posting Date: 02/06/2023
Steps for Success in a Targeted Probe and Educate Review
Steps for Success in a Targeted Probe and Educate Review We’ve provided tips and tricks to assist you with succeeding in a TPE review and the post-probe educational process. Content presented includes...
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Posting Date: 02/06/2023
Billing Overlap/Dispute Resolution Process Effective 3/1/2023
Billing Overlap/Dispute Resolution Process Effective 3/1/2023 An overlapping situation may occur between hospitals for inpatient stays, home health agencies, outpatient services and hospice agencies. ...
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Posting Date: 02/02/2023
MLN Connects® Newsletter: February 2, 2023
MLN Connects® Newsletter: February 2, 2023 News Aligning Quality Measures across CMS — The Universal Foundation Medicare Ground Ambulance Data Collection System: Portal to Report is Open Skilled N...
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Posting Date: 02/01/2023
Prior Authorization Outpatient Department Self-Service Inquiry Tools
Prior Authorization Outpatient Department Self-Service Inquiry Tools National Government Services continues to see PARs submitted for non-prior authorization HCPCS codes as well as requests submitted ...
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Posting Date: 01/31/2023
2023 Gapfill Request
2023 Gapfill Request National Government Services, the MAC for JK and J6 is in receipt of the new laboratory test codes identified by the CMS to be gap-fill priced for 2023. The PAMA regulations instr...
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Posting Date: 01/27/2023
Contractor Advisory Committee Meeting 3/16/2023: Hyaluronans
Contractor Advisory Committee Meeting 3/16/2023: Hyaluronans National Government Services will host a CAC Meeting via teleconference on 3/16/2023, from 1:00–4:00 p.m. ET. Discussions will focus on the...
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Posting Date: 01/26/2023
MLN Connects® Newsletter: January 26, 2023
MLN Connects® Newsletter: January 26, 2023 News Medicare Enrollment in PECOS: Faster and Easier Application Process — Coming Summer 2023 Medicare Enrollment: Maintain the Same Owners in All Enroll...
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Posting Date: 01/25/2023
Billing and Coding Article Updates for January 2023
Billing and Coding Article Updates for January 2023 Billing and Coding: Bevacizumab and biosimilars (A52370) The reference for Bevacizumab-adcd (Vegzelma®) listed under the Ophthalmologic Guidelines s...
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Posting Date: 01/24/2023
Part B Top Claim Errors Are Updated
Part B Top Claim Errors Are Updated Our top claim errors are updated on a quarterly basis to reflect current information. Visit Top Claim Errors to learn what you can do to avoid claim processing dela...
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Posting Date: 01/23/2023
Hospice Hot Topic: The Medicare Hospice Beneficiary Election Statement
Hospice Hot Topic: The Medicare Hospice Beneficiary Election Statement It is imperative that hospice providers understand the federal Medicare requirements and mandatory medical record documentation t...
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Posting Date: 01/23/2023
Billing and Reimbursement for Noncontact Real-Time Fluorescence Wound Imaging (CPT 0598T and CPT 0599T)
Billing and Reimbursement for Noncontact Real-Time Fluorescence Wound Imaging (CPT 0598T and CPT 0599T) National Government Services has updated its reimbursement policy on CPT codes 0598T and 0599T (...
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Posting Date: 01/19/2023
MLN Connects® Newsletter: January 19, 2023
MLN Connects® Newsletter: January 19, 2023 News Additional Steps to Strengthen Nursing Home Safety and Transparency Increase in 2023 in Organizations and Beneficiaries Benefiting from Coordinated ...
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Posting Date: 01/19/2023
Tobacco Cessation - An On Demand YouTube Video
Tobacco Cessation - An On Demand YouTube Video We know our providers are busy! Have you or a colleague been unavailable during what you thought would be a beneficial live webinar? The NGS POE team cre...
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Posting Date: 01/18/2023
Oxygen: A/B and DME Collaborative Presentation
Oxygen: A/B and DME Collaborative Presentation View the A/B and DME Oxygen YouTube Video for information on oxygen. Posted 1/18/2023
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Posting Date: 01/17/2023
Improving Customer Experience
Improving Customer Experience We are committed to improving your experience. Please watch this two-minute video that explains how each day we review comments from providers who submit surveys to let u...
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Posting Date: 01/12/2023
MLN Connects® Newsletter: January 12, 2023
MLN Connects® Newsletter: January 12, 2023 News Key Dates for First Year of Inflation Reduction Act’s Medicare Drug Price Negotiation Program Cognitive Assessment: CY 2023 Updates Care Compare: Te...
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Posting Date: 01/12/2023
The Revised CY 2023 Medicare Physician Fee Schedule Is Now Available
The Revised CY 2023 Medicare Physician Fee Schedule Is Now Available The revised CY 2023 MPFS is now available. You can view these Part B Physician Fee Schedule by accessing Resources > Tools & Calcul...
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Posting Date: 01/12/2023
Physicians: Are You Ordering Knee Orthosis for Your Patients?
Physicians: Are You Ordering Knee Orthosis for Your Patients? This is your opportunity to hear directly from the Medicare contractors regarding documentation required for the coverage criteria to be m...
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Posting Date: 01/12/2023
Let's Chat About Counseling to Prevent Tobacco Use
Let's Chat About Counseling to Prevent Tobacco Use Do you have questions on how to bill Medicare for tobacco counseling? Join us on 1/24/2023 for the opportunity to ask questions about coverage and bi...
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Posting Date: 01/10/2023
MLN Connects® Newsletter: CMS Awards 200 New Medicare-Funded Residency Slots to Hospitals Serving Underserved Communities– Jan 9, 2023
MLN Connects® Newsletter: CMS Awards 200 New Medicare-Funded Residency Slots to Hospitals Serving Underserved Communities– Jan 9, 2023 News CMS Awards 200 New Medicare-Funded Residency Slots to Ho...
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Posting Date: 01/10/2023
Over-the-Counter COVID-19 Test Benefits
Over-the-Counter COVID-19 Test Benefits Beginning 4/4/2022, and through the end of the COVID-19 PHE, Medicare started paying for U.S. FDA-approved, authorized, or cleared OTC COVID-19 tests at no cost...
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